Pnw IV Hydration LLC
Registered Nurse, Infusion Therapy in Buxton, OR. Organization (NPI-2).
NPI number1104697176
StatusActive
Last updated in NPPESSep 18, 2026
Details
- NPI
- 1104697176
- Entity type
- Organization (NPI-2)
- Legal business name
- Pnw IV Hydration LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2024
- Certification date
- Sep 18, 2026
- Last updated
- Sep 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WI0500X | Registered Nurse, Infusion Therapy | – | – | Yes |
Practice location
23300 Nw Bravo RdBuxton, OR 97109-9401
Phone 916-479-5235
Mailing address
23300 Nw Bravo RdBuxton, OR 97109-9401
Phone 916-479-5235
Authorized official
Sandra Caroline Greene
Medical Director
9162717445
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.